Friday, September 28, 2012

effox (Rest Of Pamphlet)

effox (Rest Of Pamphlet)

alcohol may potentiate the hypotensive effect of effox. This might also occur with neuroleptics and tricydic antidepressants. A blood pressure lowering effect of effox will be increased, if used together with phosphodiesterase inhibitors (e.g. sildenafil) which is used for erectile dysfunction (see special warnings and contra-indications). This might lead to life-threatening cardiovascular complications. Patients who are on effox therapy therefore must not use phosphodiesterase inhibitors (e.g. sildenafil)
Reports suggest, that, when administered concomitantly, effox may increase the blood level of dihydroergotamine and its hypertensive effect.
Effox may affect the patient’s reactivity to an extent that her/his ability to drive or to operate machines is impaired.
This effect is increased in combination with alcohol.
Undesirable effects:
A very common (>10% of patients) adverse reaction to effox is headache. The incidence of headache diminishes gradually with time and continued use.
At the Start of therapy or when the dosage is increased, hypotension and/or light-headedness on standing are observed commonly (i.e. in 1- 10% of patients). These symptoms may be associated with dizziness, drowsiness, reflex tachycardia, and a feeling of weakness.
Uncommonly (i.e. in less than 1% of patients), nausea, vomiting, flush and allergic skin reaction (e.g. rash), which may be sometimes severe may uncommonly occur. In single cases exfoliative dermatitis may occur. Very rare Stevens JohnsonSyndrom may occur. Angioedema is observed in very rare cases. Severe hypotensive responses have been reported for organic nitrates and include nausea, vomiting, restlessness, pallor and excessive perspiration. Uncommonly collapse may occur (sometimes accompanied by bradyarrhythmia and syncope).Uncommonly severe hypotension may lead to enhanced angina symptoms.
A few reports on heartburn most likely due to a nitrate-induced sphincter relaxation have been recorded.
During the treatment with effox, a temporary hypoxemia may occur due to a relative redistribution of the blood flow in hypoventilated alveolar areas. Particularly in patients with coronary artery disease this may lead to a myocardial hypoxia.
Medicine should be kept out of the reach of children
Room temperature not to exceed
30 C
Package size and presentation:
Boxes of 20 tablets
M.INAPHARM,
Under licence of
SCHWARZ 
PHARMA 
dNAPHARN

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